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Total Dermatology
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Nissan Pilest, M.D.
16100 Sand Canyon Avenue
Irvine, CA 92618
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Additional Services
Diplomat American Board of Dermatology
Education
Doctorate of Medicine
Shahid Beheshti University Of Medical Sciences

Residency
University of Arkansas
Certification
Diplomat American Board of Dermatology
Affiliations
Member, American Society of Dermatologic Surgery (ASDS)
Member, California Medical Association
Member, Orange County Medical Association
Fellow of the American Society for Laser Medicine and Surgery (ASLMS)
Member California Society of Dermatology and Dermatologic Surgery
Associate Clinical Professor University of California Irvine
Many find freckles, or ‘ephelides’ as they are called in dermatology, cute. Often they are harmless little brown specks around our nose or cheeks. They are the result of sun exposure and an attempt by our skin to respond to this exposure by packaging melanin pigment to absorb the ultraviolet rays of the sun. Unfortunately in skin that has developed freckles our skin has not packaged this melanin properly and this is displayed as a ‘freckle’.

Removing freckles is a fairly straightforward process and laser treatment is highly effective for treating them. You should see a dermatologist before having any brown spots removed as they may have the potential to be cancerous. A dermatologist can check them to be sure they can be safely removed.
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Patient Reviews for
Dr. Nissan Pilest
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First of all, I was really impressed with Dr. Pilest's web site. I learned some very important points even before seeing him. Second, his consultation with me was very complete. After 3 children and a body I want to hide, I was dreading baring my belly. But, he made me immediately comfortable and explained not only WHY I had stretch marks, but the difference in the old ones and the new ones, what I'd have to do to prepare for laser treatments since I've got some dark skin ancestry (no one ever asked me about that before or explained why it was important!) We're tackling the red marks first with Vmax laser and I've seen some very obvious improvements after just a couple of sessions. Later we'll get into the white marks with Fraxel. I know what to expect (apparently no miracles here) but I appreciate the candid assessment. It's nice to know the limitations. The nursing staff is the best. Joanne spent plenty of time reassuring me, re-explaining the process and generally being a professional hand holder. I feel very confident and comfortable with Dr. Pilest.
Mission Viejo, CA  September 07, 2010
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Total Dermatology
Nissan Pilest, M.D.
16100 Sand Canyon Avenue
Irvine, CA 92618
Call us to ask questions or schedule an appointment!
Treatment Tips
Always seek treatment with an experienced physician.
Be willing to travel a bit for the best possible treatment.
During your consultation, ask questions regarding results, concerns, and after care.
The Patient’s Guide™ to Freckles is the most respected online publication providing information about ephelides, freckles, brown spots, and freckle removal. Our mission is to provide you with unbiased, scientifically accurate information about pigmentation, as well as potential freckle removal treatments.
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